I can see the status bar

Chapter 661 The Pit

Sun Lien's immature idea was immediately ruthlessly rejected by Director Tong, "How to check? Directly open the chest and take the internal thoracic artery? Why don't I just do it after taking it?" He glanced at Sun Lien, and then seemed to suddenly realize something, "You asked me to come to the consultation, first asked if you have a heart?"

"No." Sun Li'en replied honestly, and he asked back with some confusion, "Three branch lesions, bridging is an indication. Why do I call for heart consultation?"

"You...you're just messing around!" Director Tong, who has always been good-tempered, almost scolded his mother, and Sun Lien even suspected that he had heard the pronunciation of "sh". "This patient has vasculitis, don't you know?!"

"I know... that's why it's narrow..." Sun Li'en became more guilty as he spoke, and he vaguely realized that he might have made a big mistake.

"Patients with vasculitis, how can they use bridging?!" Director Tong slapped the table and shouted, "What if the inflammatory cascade is caused after sewing it up?"

"Then you started..." Sun Lien was completely dumbfounded, he really didn't expect this.

"I thought you had already found your heart! Otherwise, why would I come here?" Director Tong calmed down a little, "This kind of patient may not dare to put a stent directly on the heart, after all, the blood vessels are very fragile. This kind of patients usually do not dilate more than 75%." He changed the subject and continued to say angrily, "Then you can't just ask us to come to the doctor for a consultation! There is vasculitis, and the sewn blood vessels may not grow back. ! I thought you asked me to come here to fight for the last time! How did you pass the title test? Such a basic content..."

Sun Li'en blinked, wondering if he should explain that he is still a regular trainee.However, Director Tong waved his hand directly, "Forget it, I almost forgot that you are still in regular training..." He glanced at Sun Lien, "I will ask other doctors in your diagnostic center about this kind of thing in the future .Fortunately, I asked a little more, otherwise, do you know that this is a major medical accident?"

Sun Li'en sent away Director Tong Chunlai who was still angry, and then bowed his head in silence for a while.Less than a day after I was promoted, I revisited the training experience of being scolded by the superior doctor.This feels... not really good.

But now there is no time for him to reflect deeply, Wang Ge's treatment plan must be determined as soon as possible.He sighed and began to ask the cardiology department for consultation.

Sure enough, the doctors in the Department of Cardiology also had some difficulties after seeing the case.After confirming the situation with Sun Li'en repeatedly, he came up with his own plan in his heart.

"Stents can be used, but the degree of expansion depends on luck. If you're lucky, it's about 75%. If you're unlucky, then it's 50%." The chief resident of the Cardiology Department sighed while watching the angiography, "And this kind of patient... There is also a high probability of vascular injury during the operation.”

"I'll go and communicate with the family... Do you want to come together?" Sun Lien asked after thinking for a while, "Maybe it's more appropriate to ask a specialist to explain this kind of thing?"

"I don't care about that." The chief resident of the Cardiology Department sighed, "However, you still have to discuss the price of the operation with your family. There are at least three stents in this breath, and the cost of the operation is not cheap."

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"Why did you change the plan again? Didn't you say that you want to build a bridge?" Sure enough, the reality of suddenly changing the treatment plan within an hour caused a strong reaction from Wang Ge's parents, "Does your hospital still have a plan?"

"This is the result of combining the opinions of specialists." Sun Lien sighed, the hole he dug for himself had to be filled no matter what.He tried to explain, "The doctors in the heart surgery department think that Wang Ge's bypass operation is too risky. Unless there is no other way, this kind of life-gambling behavior should not be done."

The term "gambling for one's life" is very serious.Although still dissatisfied, Wang Ge's parents calmed down.People are in the hospital, and they don't understand medical content, so they are still prepared to follow the doctor's advice.

"The cardiology department is actually quite difficult..." Sun Lien became more and more guilty as he spoke, but his responsibility as a doctor still forced him to continue explaining, "Because Wang Ge has vasculitis, his blood vessels will be much more fragile than ordinary people. If the patient's condition is to be expanded, it may eventually lead to coronary artery rupture, which will be fatal. The doctor in the Department of Cardiology evaluated it. If the stent is used, the best effect will be to expand to 75% of the original. If he If the blood vessels are very fragile, it may be only 50% or even lower."

This also seems to be a huge risk point.Wang Ge's father rubbed his temple and asked, "That is to say, the effect of his brace will be poor?"

"It will be worse than ordinary patients. The specific difference depends on his physical condition." Sun Lien spread his hands, "But relatively, the risk of doing braces is much lower than that of bridges."

"Isn't it more expensive to make a stent?" Wang Ge's father asked with squinted eyes, "Dr. Sun, if you want to make money, I can definitely give it to you... express it in private. I still hope that my child can have the best." treatment plan."

Sun Lien should have been angry when he heard this kind of words, but now he can only shake his head helplessly, "Mr. Wang, in fact, the cost of stent surgery is lower than that of bypass surgery. The cost of a bypass surgery is at least 10 yuan, and the trauma It will also be relatively large. After the bypass surgery, Wang Ge will have to stay in the CCU for at least ten days, which is at least another 10 yuan. It’s about 15.” He said in the most sincere tone, “If I was looking for the so-called kickback, I would definitely suggest Wang Ge to have a bypass surgery. But this plan is not the best for him.”

I don't know whether it was Sun Lien's sincerity that impressed Wang Ge's parents, or after they settled the score, they also agreed with Sun Lien's statement.In short, after a while of discussion, Wang Ge's parents nodded in agreement with the treatment plan.

"Doctor Sun, I am a straightforward person, and sometimes I don't pay much attention to what I say." Before leaving, Wang Ge's father apologized to Sun Li'en specifically, "What I said just now was not for you or the doctor. Any comments. I'm just... as a father, I'm a little nervous."

Sun Li'en nodded. In fact, he had no intention of competing with Wang Ge's parents at all.If he himself had considered everything from the very beginning and put forward a plan to intervene in the scaffolding; instead of simply being dogmatic, so that, like now, a plan has to be overturned within an hour after it is proposed, Wang Ge's parents will definitely not have Such a big response.

The hole I dug by myself, what else can I say after I get into the hole?

　The lottery draw is in the top post in the comment area, everyone, watch carefully, don't go to the wrong place.

　　
　
(End of this chapter)